Individual
AIDA OLVERA-DYCKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9368 N LILLEY RD, PLYMOUTH, MI 48170-4610
(734) 416-3900
(734) 416-3903
Mailing address
9368 N LILLEY RD, PLYMOUTH, MI 48170-4610
(734) 416-3900
(734) 416-3903
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005712
MI
Other
Enumeration date
11/14/2016
Last updated
07/14/2017
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